HOMESTEAD LTC LEASING I, LLC
NPI 1508161233
Skilled Nursing Facility in Painesville, OH

Active since January 11, 2011CLIA 36D0903092 · Waiver
164 LIBERTY ST, PAINESVILLE, OH 44077(440) 357-6181(440) 357-1142 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Homestead Ltc Leasing I, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOMESTEAD LTC LEASING I, LLC (NPI 1508161233) is a healthcare organization registered as a skilled nursing facility in Painesville, Ohio and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through July 11, 2027 and lists Lynda Bower, Cfo, as its authorized official.

NPPES Registry Identity

NPI1508161233
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHOMESTEAD LTC LEASING I, LLC
Location Address164 LIBERTY STPainesville, OH 44077-3331
Mailing Address5198 Richmond RdBedford Hts, OH 44146-1331 · (216) 831-6800 · Fax (216) 831-9734
Fax(440) 357-1142
Organization SubpartNo
Authorized OfficialLynda BowerCfo · (216) 831-6800
Enumeration DateJanuary 11, 2011
NPI 1508161233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
164 LIBERTY ST, Painesville, OH 44077

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0903092

Homestead I Dba Grand River Health And Rehab · Painesville, OH
Active · expires Jul 11, 2027
CLIA Number36D0903092
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorPrakash Yakkundi MD
Laboratory Phone(440) 357-6181
Laboratory LocationHomestead I Dba Grand River Health And Rehab1515 Brookstone Blvd, Painesville, OH 44077
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
164 LIBERTY ST
PAINESVILLE, OH 44077
Skilled Nursing Facility
164 LIBERTY ST
PAINESVILLE, OH 44077

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Homestead Ltc Leasing I, LLC's NPI number?

The NPI number for Homestead Ltc Leasing I, LLC is 1508161233. It was assigned to this organization in the NPPES registry on January 11, 2011.

Where is Homestead Ltc Leasing I, LLC located?

Homestead Ltc Leasing I, LLC is located at 164 Liberty St, Painesville, OH 44077. The listed phone number is (440) 357-6181.

What is Homestead Ltc Leasing I, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Homestead Ltc Leasing I, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0903092) is associated with this NPI, valid through July 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Homestead Ltc Leasing I, LLC was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.